Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00035 | Date 02/08/2018 |
| Token No | SM/19-20/11661 14/10/2019 | Serial | 055 Last Visit: 07/07/2022 |
| Patient Name | Mrs. MITALI ROYCHOWDHURY | Contact No | 9830482415 |
| Address | GITEN LAHIRI PARA, BOT TOLA, SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||